Confino E, Ismajovich B, Sherzer A, Peyser R M, David M P
Int J Gynaecol Obstet. 1985 Feb;23(1):1-6. doi: 10.1016/0020-7292(85)90002-5.
In a 5-year retrospective study, 543 singleton breech presented infants weighing more than 1000 g were reviewed in two obstetric departments. Department "A" actively conducted the labor with lower cesarean section rate (26%). Department "B" attempted a trial of labor with less invasive procedures and performed more cesarean sections (38% P less than 0.05 S). The management of labor, fetal and maternal outcome were compared between the two departments. Both vaginal and abdominal routes of delivery in fetuses weighing more than 1500 g resulted in the same fetal and maternal outcome. For fetuses weighing 1000-1500 g cesarean section is probably the recommended delivery route.
在一项为期5年的回顾性研究中，对两个产科部门的543例体重超过1000克的单胎臀先露婴儿进行了评估。A部门积极开展分娩工作，剖宫产率较低（26%）。B部门尝试采用侵入性较小的方法进行试产，剖宫产率较高（38%，P<0.05）。比较了两个部门的分娩管理、胎儿和产妇结局。体重超过1500克的胎儿经阴道和经腹分娩的母婴结局相同。对于体重1000-1500克的胎儿，剖宫产可能是推荐的分娩方式。
